of the nation's top hospitals, including the mayo clinic in minnesota, cedar sinai in los angeles, and children's hospitals in seattle, houston, st. louis are cut out of most plans sold on the exchange. in most cases the decision was about the cost of care. here's how obamacare is hurting one family. in seattle, the region's predominant insurer, premiere blue cross, decided not to include the children's hospital as an in network provider, except in cases where the service sought cannot be obtained anywhere else. children's nonunique services were too expensive given the goal of providing affordable coverage for consumers. the spokesman said in an email. which brings up the point, the president wants to provide everybody health insurance, and some of us, like me, were more concerned with getting them quality health care that was affordable. all this talk about insurance, insurance, insurance. the bigger more important question should have been can we get them health care they can afford? one of the biggest promises was, it will lower most everybody's cost. it turns out that was not true at all.